Altered periaqueductal gray resting state functional connectivity in migraine and the modulation effect of treatment

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Altered periaqueductal gray resting state functional connectivity in migraine and the modulation effect of treatment

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Title: Altered periaqueductal gray resting state functional connectivity in migraine and the modulation effect of treatment
Author: Li, Zhengjie; Liu, Mailan; Lan, Lei; Zeng, Fang; Makris, Nikos; Liang, Yilin; Guo, Taipin; Wu, Feng; Gao, Yujie; Dong, Mingkai; Yang, Jie; Li, Ying; Gong, Qiyong; Liang, Fanrong; Kong, Jian

Note: Order does not necessarily reflect citation order of authors.

Citation: Li, Z., M. Liu, L. Lan, F. Zeng, N. Makris, Y. Liang, T. Guo, et al. 2016. “Altered periaqueductal gray resting state functional connectivity in migraine and the modulation effect of treatment.” Scientific Reports 6 (1): 20298. doi:10.1038/srep20298. http://dx.doi.org/10.1038/srep20298.
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Abstract: The aims of this study were to 1) compare resting state functional connectivity (rs-fc) of the periaqueductal gray (PAG), a key region in the descending pain modulatory system (DPMS) between migraine without aura (MwoA) patients and healthy controls (HC), and 2) investigate how an effective treatment can influence the PAG rs-fc in MwoA patients. One hundred MwoA patients and forty-six matched HC were recruited. Patients were randomized to verum acupuncture, sham acupuncture, and waiting list groups. Resting state fMRI data were collected and seed based functional connectivity analysis was applied. Compared with HC, MwoA patients showed reduced rs-fc between the PAG and rostral anterior cingulate cortex/medial prefrontal cortex (rACC/mPFC), key regions in the DPMS and other pain related brain regions. The reduced rs-fc between the PAG and rACC/mPFC was associated with increased migraine headache intensity at the baseline. After treatments, rs-fc between the PAG and the rACC in MwoA patients significantly increased. The changes of rs-fc among the PAG, rACC and ventral striatum were significantly associated with headache intensity improvement. Impairment of the DPMS is involved in the neural pathophysiology of migraines. Impaired DPMS in migraine patients can be normalized after effective treatment.
Published Version: doi:10.1038/srep20298
Other Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4738255/pdf/
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:25658395
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